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<br />AFFIDAVIT OF MIAMI-DADE COUNTY <br />LOBBYIST REGISTRA liON FOR ORAL PRESENT A liON <br /> <br />I) Project Title: Project No.: <br />2) Department: Miami-Dade County Tourist Development Council <br />3) Finn/Proposer's Name: <br />Address: Zip: <br />4) list all Members of the Presentation Team Who Will Be Participating in the Oral Presentation: <br /> <br />NAME <br /> <br />TInE <br /> <br />EMPLOYER <br /> <br />PHONE <br /> <br />(Attach additional sheet if necessary) <br /> <br />The individuals named above are Registered and the Registration Fee is not required for the Oral Presentation ONLY. Proposers are advised <br />that any individual substituted for or added to the presentation team after submittal of the proposal and filing by staff, MUST register with <br />the Clerk of the Board and pay all applicable fees. <br /> <br />Other than for the oral presentation. Proposers who wish to address the County Commission, a County Board or County Committee <br />concerning any action. decision or recommendation of County Personnel regarding this solicitation MUST register with the Clerk of the <br />Board (Fonn BCCFORM2 DOC) and pay all applicable fees. <br /> <br />I do solemnly swear that all the foregoing facts are true and correct and I have read or am famniar with the provisions of Section 2.11.1 (s) of <br />the Code of Miami.Dade County as amended. <br /> <br />Signature of Authorized Representative: <br />Printed Name: <br /> <br />Date: <br /> <br />.. <br /> <br />Title: <br /> <br />STATE OF: <br />COUNTY OF: <br />The foregoing instrument was acknowledged before me this <br />by <br /> <br />day of <br /> <br />(year) , <br /> <br />who is (personally known to me) or (who has produced <br />did / did not take an oath. <br /> <br />(Sole, Corporation or Partnership) <br />as identification and who <br /> <br />(Signature of person taki,1S acknowledgment) <br /> <br />(Name of Acknowledger typed, printed or stamped) <br /> <br />ORAL PRESENTAOON <br /> <br />All proposers are advised that in accordance with Section 2.11.1 (s) of the Code of Miami-Dade County, FL, the Lobbyist <br />Registration for Oral Presentation Affidavit, MUST be completed, notarized and included with your proposal submission. <br />lobbyist specifically includes the principal, as well as any agent, officer or employee of a principal, regardless of whether such <br />lobbying activities fall within the nonnal scope of employment of such agent, officer or employee. <br /> <br />Individuals substituted for or added to the presentation team after submittal of the proposal and filing by staff, MUST register <br />with the Clerk of the Board and pay all applicable fees. <br /> <br />NOTE: Other than for t,he oral presentation, Proposers who wish to address the County Commission, County Board or <br />Committee concerning any actions, decision or recommendation of County Personnel regarding this request for proposal must <br />register with the Clerk of the Board (Form BCCFORM2DOC) and pay all applicable fees. <br />